RAC Coordinator
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
Type: Temp/Contract Hours: Monday - Friday 8a-5p Pay Range: $25-$35/hour - DOE Responsibilities ... for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other ...
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Type: Temp/Contract Hours: Monday - Friday 8a-5p Pay Range: $25-$35/hour - DOE Responsibilities ... for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other ...
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The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
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The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Apply Early
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
Apply Early
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Apply Early
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
Apply Early
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Apply Early
Cooper City, FL · Remote
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
Cooper City, FL · Remote
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Goshen, IN · On-site
Contact members to request additional information and follow-up. * Audit Medicare Part D Data entry ... None SCHEDULE: Temporary (approximately end of September to mid-December) 20-40 hours/week ...
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Goshen, IN · On-site
Contact members to request additional information and follow-up. * Audit Medicare Part D Data entry ... None SCHEDULE: Temporary (approximately end of September to mid-December) 20-40 hours/week ...
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Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Whippany, NJ · On-site
$83K - $120K/yr
... RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate ... Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term ...
Whippany, NJ · On-site
$83K - $120K/yr
... RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate ... Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term ...
Morristown, NJ · On-site
$83K - $120K/yr
... RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate ... Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term ...
Morristown, NJ · On-site
$83K - $120K/yr
... RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate ... Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term ...
$70K - $108K/yr
... RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to ... Keeps current with third party regulations with emphasis on Medicare billing, teaching physician ...
$70K - $108K/yr
... RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to ... Keeps current with third party regulations with emphasis on Medicare billing, teaching physician ...
$12.74 - $14.34
4% of jobs
$14.34 - $15.93
7% of jobs
$17.34 is the 25th percentile. Wages below this are outliers.
$15.93 - $17.53
15% of jobs
$17.53 - $19.12
19% of jobs
The median wage is $19.54 / hr.
$19.12 - $20.72
18% of jobs
$20.72 - $22.31
9% of jobs
$22.75 is the 75th percentile. Wages above this are outliers.
$22.31 - $23.91
10% of jobs
$23.91 - $25.50
6% of jobs
$25.50 - $27.10
3% of jobs
$27.10 - $28.69
3% of jobs
$28.69 - $30.29
5% of jobs
$12
$20
$30
| Aspect | Temporary Medicare Rac Audit | Medicare Billing Specialist |
|---|---|---|
| Credentials | Knowledge of RAC processes, compliance standards | Medical billing certifications, coding knowledge |
| Work Environment | Auditing firms, healthcare compliance departments | Hospitals, clinics, billing companies |
| Industry Usage | Focuses on audit and compliance reviews | Handles billing, coding, and claims processing |
While both roles involve healthcare finance, a Temporary Medicare RAC Audit focuses on reviewing and ensuring compliance with Medicare audit standards, whereas a Medicare Billing Specialist manages billing and coding processes to submit claims. The audit role emphasizes compliance and audit procedures, while the billing specialist concentrates on accurate claim submission and reimbursement.
Full-time
Posted 23 days ago
Job Title:
RAC CoordinatorCost Center:
Revenue IntegrityJob Description:
Position Summary:
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and external reporting, ensures GPH is prepared for RAC audits, responds to audit requests, challenges questionable determinations, and files timely appeals.
Minimum qualifications:
Education Bachelor's degree or equivalent combination of education and work experience. Extensive knowledge of CMS rules and regulations. Knowledge of state and federal laws related to healthcare billing requirements. A minimum of three years of hospital coding, billing, or revenue integrity experience. Credentials A Certified Professional Coder with a Registered Health Information Technician (RHIT), or a Certified Coding Specialist (CCS), and/or Registered Health Information Administrator (RHIA) preferred. Clinical background preferred.
Essential Functions
1. Central point person for all government claim recovery activities.
2. Coordinates, initiates, monitors, and responds to all audit requests/demands.
3. Initiates and monitors the appeal processes in a timely manner.
4. Performs research, gathers financial data, and conducts focused audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make recommendations.
5. Coordinates with facility subject matter experts when necessary.
6.Uses data or maintains database to track information including but not limited to trends regarding Medicare and Medicaid billing practice both within and outside of the hospital.
7. Manages internal and external billing audit communications for all audit-related correspondence.
8. Continuously evaluates and improves processes in preparation for audit requests and in response to audit findings. Assists interdisciplinary teams in identifying and prioritizing areas of process improvement and develop/implement processes and tools to mitigate risk
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